7 Key Policies in HHS Inspector General’s Exclusion Rule


Tony Maida said a new HHS Office of Inspector General rule, that exclusions for Medicare/Medicaid billing misconduct by providers only apply from the past 10 years, may be on shaky ground due to 1999’s Wesley Hammerruling that overturned OIG’s attempt to prosecute false billing outside the Fair Claims Act 6-year statute of limitations. “It seems that this issue is susceptible to challenge in federal court,” Mr. Maida said.